Chapter·AnatomyDermatomes and myotomes

Sensory testing of dermatomesDownloads

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1

A 45-year-old man is brought to the emergency department by ambulance after a motor vehicle collision. He is not responsive to verbal commands and is unable to provide any history. His pulse is 108/min and regular. Physical examination shows ecchymoses over the neck and back. Neurological examination indicates damage to the spinal cord at the level shown in the illustration. This patient's injury is most likely located at which of the following levels of the spinal cord?

AC2

BS2

CL4

DT6

ES4

2

A 25-year-old woman comes to the physician because of pain and weakness in her right forearm and hand for several months. Two years ago, she sustained a fracture of her ulnar shaft with dislocation of the radial head that was treated surgically. Physical examination shows mild tenderness a few centimeters distal to the lateral epicondyle. She has marked weakness when attempting to extend her right middle finger. There is radial deviation on extension of the wrist. Sensation is not impaired. Which of the following nerves is most likely affected in this patient?

AUlnar nerve

BMusculocutaneous nerve

CPosterior interosseous nerve

DSuperficial radial nerve

EAnterior interosseous nerve

3

A 30-year-old man presents with weakness in his right hand. He says he has been an avid cyclist since the age of 20. He denies any recent trauma. Physical examination reveals decreased sensations over the 4th and 5th digits with difficulty extending the 4th and 5th digits. Strength is 4 out of 5 in the extensor muscles of the right hand and wrist. When the patient is asked to extend his fingers, the result is shown in the image. Which of the following nerves is most likely damaged in this patient?

AMedian nerve

BMusculocutaneous nerve

CAxillary nerve

DUlnar nerve

ERadial nerve

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